Black, Steven Wayne

Black, Steven Wayne is an individual health care provider with primary practice located at 48Th Medical Group / Raf Lakenheath Unit 5115, Apo AE 09461-5115. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Black, Steven Wayne can be contacted via phone (163) 852-8010.

Contact Information

Primary practice address
48Th Medical Group / Raf Lakenheath Unit 5115 Apo AE 09461-5115
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X ENDO-526-17 Mississippi
Dental Providers / Endodontics 1223E0200X D-3652-EN Idaho

Profile Details

NPI number 1467422022
LBN Legal business name Black, Steven Wayne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Sep 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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